Acute Care
151 free practice questions shared by students. Answer them right here — no account needed.
An 88-year-old woman in residential aged care has had an indwelling urethral catheter for eight months for a neurogenic bladder, and it will be needed indefinit…
Pre-internship · middle twist
An 84-year-old man with prostate cancer and bone metastases is catheterised in the emergency department for painless retention that has built up over several we…
Clinical rotations · middle twist
You are the intern covering a medical ward at 2 am. A 61-year-old woman with cirrhosis due to hepatitis C is admitted with hepatic encephalopathy; she is drowsy…
Pre-internship · niche
A 68-year-old man on the stroke unit has a fine-bore nasogastric tube inserted for feeding after a large middle cerebral artery infarct. Insertion was straightf…
Clinical rotations · middle twist
A 74-year-old man with type 2 diabetes is brought to the emergency department by his wife because he has become sweaty, tremulous and muddled at home. His capil…
Pre-internship · niche
A 19-year-old woman with type 1 diabetes is on the surgical ward the evening after an appendicectomy. Two hours after her usual insulin she becomes sweaty and t…
Clinical rotations · middle twist
A 31-year-old man is intubated in the emergency department after falling from a roof and is transferred to the intensive care unit. Sedation has been withheld f…
Pre-internship · middle twist
A 58-year-old man is found collapsed at home and brought to the emergency department. He does not respond when his name is called loudly and does not open his e…
Clinical rotations · middle twist
A 24-year-old woman is admitted with an exacerbation of asthma. After an hour of nebulised salbutamol and ipratropium and oral prednisolone she is speaking in f…
Pre-internship · niche
A 63-year-old woman with type 2 diabetes presents with two days of vomiting and upper abdominal pain, during which she has eaten almost nothing. She takes metfo…
Clinical rotations · middle twist
A 74-year-old woman is on day 4 after an open right hemicolectomy. Sodium chloride 0.9% 1 L eight-hourly, charted in the emergency department before her operati…
Pre-internship · common
A 70 kg man is brought to the emergency department three hours after his clothing caught fire at a campsite. He has deep burns covering 40% of his total body su…
Pre-internship · niche
A 68-year-old woman weighing 65 kg is in the emergency department with urinary sepsis. Intravenous antibiotics were given within 30 minutes of arrival and she h…
Pre-internship · middle twist
A 71-year-old man is on day 2 after a Hartmann procedure for perforated diverticulitis. He remains nil by mouth and his nasogastric tube has drained 1400 mL in…
Pre-internship · niche
A 58-year-old man was admitted 36 hours ago with severe acute pancreatitis and has been given 7 litres of sodium chloride 0.9%. He is alert and normotensive, is…
Clinical rotations · middle twist
A 4-year-old girl has had three days of watery diarrhoea and vomiting. She is irritable with dry mucous membranes and reduced urine output; her hands are warm,…
Clinical rotations · middle twist
You are the intern asked to collect a group and hold sample from a 68-year-old man before an elective hip replacement. When you arrive the ward clerk hands you…
Pre-internship · common
A well 24-year-old woman has routine blood tests before starting a combined oral contraceptive. She takes no medication and her blood pressure is 112/70 mmHg. B…
Clinical rotations · middle twist
A 58-year-old man is receiving intravenous vancomycin for a prosthetic joint infection through a 20 gauge cannula in the dorsum of the left hand. Six hours into…
Clinical rotations · middle twist
A 78-year-old woman is admitted overnight for observation after a mechanical fall. She is eating and drinking, takes only oral medications, and no intravenous t…
Pre-internship · common